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BRENT THEIS M.A., LPC-S
NPI 1699423236
Counselor - Professional in Rockwall, TX

Active since March 14, 2022

NPPES record last updated: March 14, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Brent Theis M.a., Lpc-s NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRENT THEIS M.A., LPC-S (NPI 1699423236) is an individual professional provider in Rockwall, Texas, licensed in Texas (60596) and active in the NPI registry since March 2022.

NPPES Registry Identity

NPI1699423236
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameBRENT THEISCredential: M.A., LPC-S
Location Address701 E I30Rockwall, TX 75087-5504
Mailing Address701 E I30Rockwall, TX 75087-5504 · (469) 698-2250
Phone(214) 228-7801
Sole ProprietorNo
Enumeration DateMarch 14, 2022
NPPES CertifiedMarch 14, 2022
✔ NPI 1699423236 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in TX · 60596
701 E I30, Rockwall, TX 75087
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Other Names 1

Professional Name (2)Brent Theis M.a., Lpc-s

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Brent Theis M.a., Lpc-s has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from March 28, 2024 through March 28, 2026.

Opt-Out Effective DateMarch 28, 2024
Opt-Out In Effect ThroughMarch 28, 2026Opt-out affidavits renew automatically every two years unless cancelled

Frequently Asked Questions

What is Brent Theis's NPI number?

The NPI number assigned to this healthcare provider is 1699423236, enumerated as an "individual" on March 14, 2022.

Where is the provider located?

The provider is located at 701 E I30 ROCKWALL, TX 75087 and the phone number is (214) 228-7801.

What is the provider's specialty?

Counselor with taxonomy code 101YP2500X and a focus in Professional.